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What Do CMS' Fraud Efforts Mean for DME?

This article was written by Liz Beaulieu, originally featured in HME News The Centers for Medicare and Medicaid Services (CMS), under the new administration, has made combating fraud, waste, and abuse a top priority—bringing the durable...

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Reminder: Annual Medicare Participation Announcement

Every year from mid-November through December 31, providers can decide if they want to participate in Medicare for the upcoming year. In early to mid-November, your MAC will send a post card reminding you about the annual participation open enrollment...

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Friday FAQ

Question: I am just starting a new home medical equipment business. How can The van Halem Group help? Answer: At vHG, we offer a variety of services for new DMEPOS suppliers, including assistance with getting your business accredited and enrolled...

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Coming Soon: PECOS 2.0

CMS recently announced several updates to the online Provider Enrollment Chain and Ownership System (PECOS). Beginning this summer, PECOS will unveil the latest version, touted by CMS to make the process of applying to “become a Medicare provider...

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Kelly Grahovac Joins Big Sky Board of Directors

Atlanta, GA – The van Halem Group is excited to announce that Kelly Grahovac, General Manager, has been named as an Associate Director to the Big Sky Association of Medical Equipment Suppliers Board of Directors. “I’m honored and...

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MACs Resume Medical Review on a Post-payment Basis

Beginning August 2020, Medicare Administrative Contractors (MACs) resumed post-payment reviews of items and services with dates of service before March 2020. MACs may now begin conducting post-payment medical reviews for later dates of service. The...

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OMHA Further Expands the Settlement Conference Facilitation Parameters

By Sandra Gauron, Audit and Appeals Coordinator In an effort to provide Administrative Law Judge (ALJ) backlog relief, CMS launched the Settlement Conference Facilitation (SCF) pilot program in July 2014.  SCF is an alternative dispute resolution...

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The van Halem Group Announces New Partnership with Össur Americas, Inc.

The van Halem Group will be partnering with Össur Americas, Inc., a global manufacturer of orthotic and prosthetic products. As part of this agreement, The van Halem Group will provide clinical prescreen reviews and appeal services for custom orthotics...

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Hospital Beds and Manual Wheelchairs added to RAC Approved Issues

CMS has approved two new topics for the DMEPOS RAC, Performant, to begin reviewing, effective March 1, 2020. Hospital Beds: Medical Necessity and Documentation Requirements Description: Hospital Beds must meet basic coverage criteria whether at...

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Medicare Documentation Job Aid for Doctors of Chiropractic

By Abrielle Uritz, RN, BSN, CPC, CEMC As a Doctor of Chiropractic, responding to a medical records request can be challenging; however, the A and B MACs have created a tool that will help to adequately respond to these requests. This includes guidance...

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